[Evaluation of the endogenous rhythm during intermittent cardiac stimulation in patients with artificial pacemaker].
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to W Piwowarska.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
38 patients with recurrent cardiotopic rhythm, treated by permanent "on demand" pacemaker, were investigated. 15 patients (group A) were observed for 14 days of pacing, 23 (group B) were observed from 7 to 68 months of pacing. Further, 17 persons were investigated--in 12 of them the endocardial electrode USCI had been placed in the right ventricle and left there for 24 hours. 10 persons were paced by endocardial bipolar USCI electrode from external pacemaker, the other two by unipolar electrode from permanent "on demand" pacemaker. In paced patients a negative deep T inversion and ST depression were observed. In persons paced for 24 hours the ST-T changes disappeared at the earliest 48 hours after pacing was stopped. Changes in repolarization caused by artificial depolarization should be taken into account when in patients with ventricular pacing and cardiotopic rhythm subendocardial infarction is suspected.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The ECG tracings in patients with recent and past myocardial infarction and permanent or temporary artificial pacing were analysed. The observations were made in 12 patients (8 with recent infarction and 4 with a past one). Anterior wall infarction was diagnosed in 4 subjects, anteroseptal in 3, inferior wall infarction was recognized in 4, and posterior wall infarction in one patient. In the stimulated complexes of persons with anterior and anteroseptal infarctions there appears a pathological Q deflection with ST segment elevation in leads I, aVL, V5. In the infarct of the inferior wall the ST segment elevation occurs in leads II, III, aVF without the presence of Q deflection. No differences were shown in the morphology of stimulated complexes in persons with recent and past myocardial infarction.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.